Khaled G Abu Eleinen, Salah A Makhlouf , Mohammad G Barhooma, Hoda T EL Shiwy, Mohamed W M Nagaty and Ibrahim Mosaad AbdelAti
Cairo University, Egypt Fayoum Eye Hospital, Egypt
Scientific Tracks Abstracts: J Clin Exp Ophthalmol
Purpose: This pilot study evaluated the short-term efficacy and safety of cyclodialysis operation in cases of advanced uncontrolled glaucoma. Methods: Patients with advanced glaucoma and uncontrolled intraocular pressure (IOP) despite maximally tolerable antiglaucoma medications were selected to undergo cyclodialysis. Follow-up examinations took place until 6 months postoperatively. Results: Thirty-five eyes of 31 patients were included. Mean age was 47.17 ±17.99 years. Open-angle glaucoma was the most common diagnosis 18 eyes (51.43%), 14 of them (40%) were Primary open-angle glaucoma and 4 (11.4%) were pseudoexfoliation glaucoma. Best corrected distant visual acuity (BCDVA) at baseline ranged between 0.7 and 1.6 Log MAR. Mean untreated IOP before surgery was 47.1±9.5 mm Hg. This was reduced significantly to 16.4 ±8 mm Hg (mean reduction 30.7 mmHg: 65.2% reduction, P < 0.0001) at 6 months. The mean number of anti-glaucoma drops decreased significantly from 3.6 ±0.8 drops before surgery to 0.52 ±1.12 at 6 months of follow-up (P < 0.0001). Hyphema on the 1st postoperative day was encountered in 16 eyes (45.7%). We noted non-significant reduction of mean BCDVA from 1.14 ±0.28 to 1.24 ± 0.22 log MAR (P = 0.1198). Cyclodialysis failed to control IOP in 3 of 5 eyes with neo vascular glaucoma (60%) at 6 months due to continuous proliferation in these eyes. Conclusions: Cyclodialysis is an efficient glaucoma surgery that achieves significant reduction of IOP and the number of anti-glaucoma drops. Further studies are needed to assess the success of this technique in different types of glaucoma.
Khaled G Abu Eleinen is a renowned Ophthalmology Professor. Khaled G Abu Eleinen is working in Department of Ophthalmology, Faculty of Medicine, Cairo University, Cairo, Egypt and Department of Ophthalmology, Fayoum eye hospital, Fayoum, Egypt . He publishes many articles in reputed journals.